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49 results on '"Troian, Marina"'

1. Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

Author

Perrone, Gennaro, Giuffrida, Mario, Abu-Zidan, Fikri, Kruger, Vitor F., Livrini, Marco, Petracca, Gabriele Luciano, Rossi, Giorgio, Tarasconi, Antonio, Tian, Brian W. C. A., Bonati, Elena, Mentz, Ricardo, Mazzini, Federico N., Campana, Juan P., Gasser, Elisabeth, Kafka-Ritsch, Reinhold, Felsenreich, Daniel M., Dawoud, Christopher, Riss, Stefan, Gomes, Carlos Augusto, Gomes, Felipe Couto, Gonzaga, Ricardo Alessandro Teixeira, Canton, Cassio Alfred Brattig, Pereira, Bruno Monteiro, Fraga, Gustavo P., Zem, Leticia Gonçalves, Cordeiro-Fonseca, Vinicius, de Mesquita Tauil, Renato, Atanasov, Boyko, Belev, Nikolay, Kovachev, Nikola, Meléndez, L. Juan José, Dimova, Ana, Dimov, Stefan, Zelić, Zdravko, Augustin, Goran, Bogdanić, Branko, Morić, Trpimir, Chouillard, Elie, Bajul, Melinda, De Simone, Belinda, Panis, Yves, Esposito, Francesco, Notarnicola, Margherita, Lauka, Lelde, Fabbri, Anna, Hentati, Hassen, Fnaiech, Iskander, Aurélien, Venara, Bougard, Marie, Roulet, Maxime, Demetrashvili, Zaza, Pipia, Irakli, Merabishvili, Giorgi, Bouliaris, Konstantinos, Koukoulis, Georgios, Doudakmanis, Christos, Xenaki, Sofia, Chrysos, Emmanuel, Kokkinakis, Stamatios, Vassiliu, Panteleimon, Michalopoulos, Nikolaos, Margaris, Ioannis, Kechagias, Aristotelis, Avgerinos, Konstantinos, Katunin, Jevgeni, Lostoridis, Eftychios, Nagorni, Eleni-Aikaterini, Pujante, Antonio, Mulita, Francesk, Maroulis, Ioannis, Vailas, Michail, Marinis, Athanasios, Siannis, Ioannis, Bourbouteli, Eirini, Manatakis, Dimitrios K., Tasis, Nikolaos, Acheimastos, Vasileios, Maria, Sotiropoulou, Stylianos, Kapiris, Kuzeridis, Harilaos, Korkolis, Dimitrios, Fradelos, Evangelos, Kavalieratos, George, Petropoulou, Thalia, Polydorou, Andreas, Papacostantinou, Ioannis, Triantafyllou, Tania, Kimpizi, Despina, Theodorou, Dimitrios, Toutouzas, Konstantinos, Chamzin, Alexandros, Frountzas, Maximos, Schizas, Dimitrios, Karavokyros, Ioannis, Syllaios, Athanasios, Charalabopoulos, Alexandros, Boura, Maria, Baili, Efstratia, Ioannidis, Orestis, Loutzidou, Lydia, Anestiadou, Elissavet, Tsouknidas, Ioannis, Petrakis, Georgios, Polenta, Eleni, Bains, Lovenish, Gupta, Rahul, Singh, Sudhir K., Khanduri, Archana, Bala, Miklosh, Kedar, Asaf, Pisano, Marcello, Podda, Mauro, Pisanu, Adolfo, Martines, Gennaro, Trigiante, Giuseppe, Lantone, Giuliano, Agrusa, Antonino, Di Buono, Giuseppe, Buscemi, Salvatore, Veroux, Massimiliano, Gioco, Rossella, Veroux, Gastone, Oragano, Luigi, Zonta, Sandro, Lovisetto, Federico, Feo, Carlo V., Pesce, Antonio, Fabbri, Nicolò, Lantone, Giulio, Marino, Fabio, Perrone, Fabrizio, Vincenti, Leonardo, Papagni, Vincenzo, Picciariello, Arcangelo, Rossi, Stefano, Picardi, Biagio, Del Monte, Simone Rossi, Visconti, Diego, Osella, Giulia, Petruzzelli, Luca, Pignata, Giusto, Andreuccetti, Jacopo, D’Alessio, Rossella, Buonfantino, Massimo, Guaitoli, Eleonora, Spinelli, Stefano, Sampietro, Gianluca Matteo, Corbellini, Carlo, Lorusso, Leonardo, Frontali, Alice, Pezzoli, Isabella, Bonomi, Alessandro, Chierici, Andrea, Cotsoglou, Christian, Manca, Giuseppe, Delvecchio, Antonella, Musa, Nicola, Casati, Massimiliano, Letizia, Laface, Abate, Emmanuele, Ercolani, Giorgio, D’Acapito, Fabrizio, Solaini, Leonardo, Guercioni, Gianluca, Cicconi, Simone, Sasia, Diego, Borghi, Felice, Giraudo, Giorgio, Sena, Giuseppe, Castaldo, Pasquale, Cardamone, Eugenia, Portale, Giuseppe, Zuin, Matteo, Spolverato, Ylenia, Esposito, Marialusia, Isernia, Roberta Maria, Di Salvo, Maria, Manunza, Romina, Esposito, Giuseppe, Agus, Marcello, Asti, Emanuele Luigi Giuseppe, Bernardi, Daniele Tiziano, Tonucci, Tommaso Panici, Luppi, Davide, Casadei, Massimiliano, Bonilauri, Stefano, Pezzolla, Angela, Panebianco, Annunziata, Laforgia, Rita, De Luca, Maurizio, Zese, Monica, Parini, Dario, Jovine, Elio, De Sario, Giuseppina, Lombardi, Raffaele, Aprea, Giovanni, Palomba, Giuseppe, Capuano, Marianna, Argenio, Giulio, Orio, Gianluca, Armellino, Mariano Fortunato, Troian, Marina, Guerra, Martina, Nagliati, Carlo, Biloslavo, Alan, Germani, Paola, Aizza, Giada, Monsellato, Igor, Chahrour, Ali Chaouki, Anania, Gabriele, Bombardini, Cristina, Bagolini, Francesco, Sganga, Gabriele, Fransvea, Pietro, Bianchi, Valentina, Boati, Paolo, Ferrara, Francesco, Palmieri, Francesco, Cianci, Pasquale, Gattulli, Domenico, Restini, Enrico, Cillara, Nicola, Cannavera, Alessandro, Nita, Gabriela Elisa, Sarnari, Jlenia, Roscio, Francesco, Clerici, Federico, Scandroglio, Ildo, Berti, Stefano, Cadeo, Alessandro, Filippelli, Alice, Conti, Luigi, Grassi, Carmine, Cattaneo, Gaetano Maria, Pighin, Marina, Papis, Davide, Gambino, Giovanni, Bertino, Vanessa, Schifano, Domenico, Prando, Daniela, Fogato, Luisella, Cavallo, Fabio, Ansaloni, Luca, Picheo, Roberto, Pontarolo, Nicholas, Depalma, Norma, Spampinato, Marcello, D’Ugo, Stefano, Lepre, Luca, Capponi, Michela Giulii, Campa, Rossella Domenica, Sarro, Giuliano, Dinuzzi, Vincenza Paola, Olmi, Stefano, Uccelli, Matteo, Ferrari, Davide, Inama, Marco, Moretto, Gianluigi, Fontana, Michele, Favi, Francesco, Picariello, Erika, Rampini, Alessia, Barberis, Andrea, Azzinnaro, Antonio, Oliva, Alba, Totaro, Luigi, Benzoni, Ilaria, Ranieri, Valerio, Capolupo, Gabriella Teresa, Carannante, Filippo, Caricato, Marco, Ronconi, Maurizio, Casiraghi, Silvia, Casole, Giovanni, Pantalone, Desire, Alemanno, Giovanni, Scheiterle, Maximilian, Ceresoli, Marco, Cereda, Marco, Fumagalli, Chiara, Zanzi, Federico, Bolzon, Stefano, Guerra, Enrico, Lecchi, Francesca, Cellerino, Paola, Ardito, Antonella, Scaramuzzo, Rosa, Balla, Andrea, Lepiane, Pasquale, Tartaglia, Nicola, Ambrosi, Antonio, Pavone, Giovanna, Palini, Gian Marco, Veneroni, Simone, Garulli, Gianluca, Ricci, Claudio, Torre, Beatrice, Russo, Iris Shari, Rottoli, Matteo, Tanzanu, Marta, Belvedere, Angela, Milone, Marco, Manigrasso, Michele, De Palma, Giovanni Domenico, Piccoli, Micaela, Pattacini, Gianmaria Casoni, Magnone, Stefano, Bertoli, Paolo, Pisano, Michele, Massucco, Paolo, Palisi, Marco, Luzzi, Andrea-Pierre, Fleres, Francesco, Clarizia, Guglielmo, Spolini, Alessandro, Kobe, Yoshiro, Toma, Takayuki, Shimamura, Fumihiko, Parker, Robert, Ranketi, Sinkeet, Mitei, Mercy, Svagzdys, Saulius, Pauzas, Henrikas, Zilinskas, Justas, Poskus, Tomas, Kryzauskas, Marius, Jakubauskas, Matas, Zakaria, Andee Dzulkarnaen, Zakaria, Zaidi, Wong, Michael Pak-Kai, Jusoh, Asri Che, Zakaria, Muhammad Nazreen, Cruz, Daniel Rios, Elizalde, Aurea Barbara Rodriguez, Reynaud, Alejandro Bañon, Hernandez, Edgard Efren Lozada, Monroy, Jose maria Victor Palomo, Hinojosa-Ugarte, Diego, Quiodettis, Martha, Du Bois, María Esther, Latorraca, José, Major, Piotr, Pędziwiatr, Michał, Pisarska-Adamczyk, Magdalena, Walędziak, Maciej, Kwiatkowski, Andrzej, Czyżykowski, Łukasz, da Costa, Silvia Dantas, Pereira, Bela, Ferreira, Ana Rita Oliveira, Almeida, Filipe, Rocha, Ricardo, Carneiro, Carla, Perez, Diego Pita, Carvas, João, Rocha, Catarina, Ferreira, Cátia, Marques, Rita, Fernandes, Urânia, Leao, Pedro, Goulart, André, Pereira, Rita Gonçalves, Patrocínio, Sara Daniela Direito, de Mendonça, Nuno Gonçalo Gonçalves, Manso, Maria Isabel Cerqueira, Morais, Henrique Manuel Cardoso, Cardoso, Paulo Sebastião, Calu, Valentin, Miron, Adrian, Toma, Elena Adelina, Gachabayov, Mahir, Abdullaev, Abakar, Litvin, Andrey, Nechay, Taras, Tyagunov, Alexander, Yuldashev, Anvar, Bradley, Alison, Wilson, Michael, Panyko, Arpád, Látečková, Zuzana, Lacko, Vladimír, Lesko, Dusan, Soltes, Marek, Radonak, Jozef, Turrado-Rodriguez, Victor, Termes-Serra, Roser, Morales-Sevillano, Xavier, Lapolla, Pierfrancesco, Mingoli, Andrea, Brachini, Gioia, Degiuli, Maurizio, Sofia, Silvia, Reddavid, Rossella, de Manzoni Garberini, Andrea, Buffone, Angelica, del Pozo, Eduardo Perea, Aparicio-Sánchez, Daniel, Dos Barbeito, Sandra, Estaire-Gómez, Mercedes, Vitón-Herrero, Rebeca, de los Ángeles Gil Olarte-Marquez, Mª, Gil-Martínez, José, Alconchel, Felipe, Nicolás-López, Tatiana, Rahy-Martin, Aida Cristina, Pelloni, María, Bañolas-Suarez, Raquel, Mendoza-Moreno, Fernando, Nisa, Francisca García-Moreno, Díez-Alonso, Manuel, Rodas, María Elisa Valle, Agundez, María Carmona, Andrés, María Inmaculada Pérez, Moreira, Claudia Cristina Lopes, Perez, Aintzane Lizarazu, Ponce, Iñigo Augusto, González-Castillo, Ana María, Membrilla-Fernández, Estela, Salvans, Silvia, Serradilla-Martín, Mario, Pardo, Pablo Sancho, Rivera-Alonso, Daniel, Dziakova, Jana, Huguet, Jose Mugüerza, Valle, Naila Pagès, Ruiz, Enrique Colás, Valcárcel, Cristina Rey, Moreno, Cristina Ruiz, Salazar, Yeniffer Tatiana Moreno, García, Juan Jesús Rubio, Micó, Silvia Sevila, López, Joaquín Ruiz, Farré, Silvia Pérez, Gomez, Maite Santamaria, Petit, Nuria Mestres, Titos-García, Alberto, Aranda-Narváez, Jose Manuel, Romacho-López, Laura, Sánchez-Guillén, Luis, Aranaz-Ostariz, Veronica, Bosch-Ramírez, Marina, Martínez-Pérez, Aleix, Martínez-López, Elías, Sebastián-Tomás, Juan Carlos, Jimenez-Riera, Granada, Jimenez-Vega, Javier, Cuellar, Jose Aurelio Navas, Campos-Serra, Andrea, Muñoz-Campaña, Anna, Gràcia-Roman, Raquel, Alegre, Javier Martínez, Pinto, Francisca Lima, O’Sullivan, Sara Nuñez, Antona, Francisco Blanco, Jiménez, Beatriz Muñoz, López-Sánchez, Jaime, Carmona, Zahira Gómez, Fernández, Rocio Torres, Sierra, Isabel Blesa, de León, Laura Román García, Moreno, Verónica Polaino, Iglesias, Eva, Cumplido, Paola Lora, Bravo, Altea Arango, Simó, Ignacio Rey, Domínguez, Carlota López, Caamaño, Aloia Guerreiro, Lozano, Rafael Calleja, Martínez, Manuel Durán, Torres, Álvaro Naranjo, de Quiros, Javier Tomas Morales Bernaldo, Pellino, Gianluca, Cloquell, Miriam Moratal, Moller, Elsa García, Jalal-Eldin, Sami, Abdoun, Ahmed K., Hamid, Hytham K. S., Lohsiriwat, Varut, Mongkhonsupphawan, Aitsariya, Baraket, Oussama, Ayed, Karim, Abbassi, Imed, Ali, Ali Ben, Ammar, Houssem, Kchaou, Ali, Tlili, Ahmed, Zribi, Imen, Colak, Elif, Polat, Suleyman, Koylu, Zehra Alan, Guner, Ali, Usta, Mehmet Arif, Reis, Murat Emre, Mantoglu, Baris, Gonullu, Emre, Akin, Emrah, Altintoprak, Fatih, Bayhan, Zulfu, Firat, Necattin, Isik, Arda, Memis, Ufuk, Bayrak, Mehmet, Altıntaş, Yasemin, Kara, Yasin, Bozkurt, Mehmet Abdussamet, Kocataş, Ali, Das, Koray, Seker, Ahmet, Ozer, Nazmi, Atici, Semra Demirli, Tuncer, Korhan, Kaya, Tayfun, Ozkan, Zeynep, Ilhan, Onur, Agackiran, Ibrahim, Uzunoglu, Mustafa Yener, Demirbas, Eren, Altinel, Yuksel, Meric, Serhat, Hacım, Nadir Adnan, Uymaz, Derya Salim, Omarov, Nail, Balık, Emre, Tebala, Giovanni D., Khalil, Hany, Rana, Mridul, Khan, Mansoor, Florence, Charlotte, Swaminathan, Christie, Leo, Cosimo Alex, Liasis, Lampros, Watfah, Josef, Trostchansky, Ivan, Delgado, Edward, Pontillo, Marcelo, Latifi, Rifat, Coimbra, Raul, Edwards, Sara, Lopez, Ana, Velmahos, George, Dorken, Ander, Gebran, Anthony, Palmer, Amanda, Oury, Jeffrey, Bardes, James M., Seng, Sirivan Suon, Coffua, Lauren S., Ratnasekera, Asanthi, Egodage, Tanya, Echeverria-Rosario, Karla, Armento, Isabella, Napolitano, Lena M., Sangji, Naveen F., Hemmila, Mark, Quick, Jacob A., Austin, Tyler R., Hyman, Theodore S., Curtiss, William, McClure, Amanda, Cairl, Nicholas, Biffl, Walter L., Truong, Hung P., Schaffer, Kathryn, Reames, Summer, Banchini, Filippo, Capelli, Patrizio, Coccolini, Federico, Sartelli, Massimo, Bravi, Francesca, Vallicelli, Carlo, Agnoletti, Vanni, Baiocchi, Gian Luca, and Catena, Fausto

Published
2024
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4. Landmarks and Scanning Technique

Author

Casamassima, Andrea, da Silva, Antonio Rodrigues, Iordanou, Christos, Membrilla, Estela, Martinez Casas, Isidro, Troian, Marina, Zago, Mauro, editor, Troian, Marina, editor, and Mariani, Diego, editor

Published
2023
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6. CEUS in Visceral Emergencies

Author

Mariani, Diego, Biloslavo, Alan, Maconi, Giovanni, Marconi, Matteo, Troian, Marina, Zago, Mauro, Zago, Mauro, editor, Troian, Marina, editor, and Mariani, Diego, editor

Published
2023
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8. coMpliAnce with evideNce-based cliniCal guidelines in the managemenT of acute biliaRy pancreAtitis): The MANCTRA-1 international audit

Author

Podda, Mauro, Gerardi, Chiara, Coccolini, Federico, di Saverio, Salomone, Pellino, Gianluca, Pata, Francesco, Ielpo, Benedetto, Virdis, Francesco, Damaskos, Dimitris, Gourgiotis, Stavros, Poillucci, Gaetano, Pacella, Daniela, Jayant, Kumar, Agresta, Ferdinando, Sartelli, Massimo, Leppaniemi, Ari, Riboni, Cristiana, Catena, Fausto, Kluger, Yoram, Pisanu, Adolfo, Giordano, Alessio, Ferrario, Luca, Calvo, Mikel Prieto, Wilson, Michael, Soggiu, Fiammetta, Hamdan, Alaa, Gomes, Carlos Augusto, Fraga, Gustavo, Ioannidis, Argyrios, De Simone, Belinda, Demetrashvili, Zaza, Sahani, Saaz, Bains, Lovenish, Khamees, Almu'atasim, Ababneh, Hazim, Aljaiuossi, Osama, Pimentel, Samuel, Mohamad, Ikhwan Sani, Yusoff, Ahmad Ramzi, Zarnescu, Narcis Octavian, Calu, Valentin, Litvin, Andrey, Lesko, Dusan, Elmehrath, Ahmed, Elshami, Mohamedraed, de Santibañes, Martin, Gundara, Justin, Alawadhi, Kamel, Lui, Rashid, Julianov, Alexander, Ralon, Sergio, Garzali, Ibrahim-Umar, Machain, Gustavo M., Quispe-Cruz, Darwin Artidoro, Orantia, Abigail Cheska C., Walędziak, Maciej, Correia de Sá, Tiago, Ali, Syed Muhammad, Kovacevic, Bojan, Noel, Colin, Abdalah, Haidar M., Kchaou, Ali, Isik, Arda, Ansaloni, Luca, Biffl, Walter, Guerrieri, Mario, Sartori, Alberto, Abradelo, Manuel, Nigri, Giuseppe, Di Lorenzo, Nicola, Mingoli, Andrea, Chiarugi, Massimo, Di Menno Stavron, Juliana, Mazza, Oscar, Valenzuela, José Ignacio, Pantoja Pachajoa, Diana Alejandra, Alvarez, Fernando Andrés, Liaño, Julian Ezequiel, Tefay, Joan, Alshaikh, Abdulrahman, Hasan, Layla, Augusto Gomes, Carlos, Gomes, Felipe Couto, Fraga, Gustavo P., Calderan, Thiago R.A., Hirano, Elcio S., Dardanov, Dragomir, Saroglu, Azize, Atanasov, Boyko, Belev, Nikolay, Kovachev, Nikola, Chan, Shannon Melissa, Lok, Hon-Ting, Salcedo, Diego, Robayo, Diana, Triviño, María Alejandra, Manak, Jan, de Araujo, Jorann, Sethi, Ananya, Awad, Ahmed, Elbadawy, Merihan, Farid, Ahmed, Hanafy, Asmaa, Nafea, Ahmed, Sherief-Ghozy, Salah – Abbas, Alzhraa, Abdelsalam, Wafaa, Emile, Sameh, Elfallal, Ahmed, Elfeki, Hossam, Elghadban, Hosam, Shoma, Ashraf, Shetiwy, Mohamed, Elbahnasawy, Mohamed, Mohamed, Salem, Hamed, Emad Fawzi, Khalil, Usama Ahmed, Chouillard, Elie, Gumbs, Andrew, Police, Andréa, Mabilia, Andrea, Khutsishvili, Kakhi, Tvaladze, Anano, Ioannidis, Orestis, Anestiadou, Elissavet, Loutzidou, Lydia, Konstantinidis, Konstantinis, Konstantinidou, Sofia, Manatakis, Dimitrios, Acheimastos, Vasileios, Tasis, Nikolaos, Michalopoulos, Nikolaos, Kokoropoulos, Panagiotis, Papadoliopoulou, Maria, Sotiropoulou, Maria, Kapiris, Stylianos, Metaxas, Panagiotis, Tsouknidas, Ioannis, Kefili, Despoina, Petrakis, George, Dakis, Konstantinos, Alexandridou, Eirini, Synekidou, Eirini, Dakis, Kostas, Papadopoulos, Aristeidis, Chouliaras, Christos, Mouzakis, Odysseas, Mulita, Francesk, Maroulis, Ioannis, Vailas, Michail, Triantafyllou, Tania, Theodorou, Dimitrios, Lostoridis, Eftychios, Nagorni, Eleni-Aikaterini, Tourountzi, Paraskevi, Baili, Efstratia, Charalabopoulos, Alexandros, Liakakos, Theodore, Schizas, Dimitrios, Kozadinos, Alexandros, Syllaios, Athanasios, Machairas, Nikolaos, Kykalos, Stylianos, Stamopoulos, Paraskevas, Delis, Spiros, Farazi-Chongouki, Christos, Kalaitzakis, Evangelos, Giannarakis, Miltiadis, Lasithiotakis, Konstantinos, Petra, Giorgia, Gupta, Amit, Medappil, Noushif, Muthukrishnan, Vijayanand, Kamar, Jubin, Lal, Pawan, Agarwal, Rajendra, Magnoli, Matteo, Aonzo, Paolo, Serventi, Alberto, Giuliani, Antonio, Di Lascio, Pierpaolo, Pinto, Margherita, Bergamini, Carlo, Bottari, Andrea, Fortuna, Laura, Martellucci, Jacopo, Cicako, Atea, Miglietta, Claudio, Morino, Mario, Delogu, Daniele, Picchetto, Andrea, Assenza, Marco, D'Ambrosio, Giancarlo, Argenio, Giulio, Armellino, Mariano Fortunato, Ioia, Giovanna, Occhionorelli, Savino, Andreotti, Dario, Domenico, Lacavalla, Luppi, Davide, Casadei, Massimiliano, Di Donato, Luca, Manoochehri, Farshad, Lucia Marchese, Tiziana Rita, Sergi, William, Manca, Roberto, Murgia, Raimondo, Piras, Enrico, Conti, Lorenzo, Gianazza, Simone, Rizzi, Andrea, Segalini, Edoardo, Monti, Marco, Iiritano, Elena, Mariani, Nicolò Maria, De Nicola, Enrico, Scifo, Giovanna, Pignata, Giusto, Andreuccetti, Jacopo, Fleres, Francesco, Clarizia, Guglielmo, Spolini, Alessandro, Biloslavo, Alan, Germani, Paola, Mastronardi, Manuela, Bogoni, Selene, Palmisano, Silvia, De Manzini, Nicolo’, Marino, Marco Vito, Martines, Gennaro, Trigiante, Giuseppe, Lagouvardou, Elpiniki, Anania, Gabriele, Bombardini, Cristina, Oppici, Dario, Pilia, Tiziana, Murzi, Valentina, Gessa, Emanuela, Bracale, Umberto, Di Nuzzo, Maria Michela, Peltrini, Roberto, Salvetti, Francesco, Viganò, Jacopo, Sganga, Gabriele, Bianchi, Valentina, Fransvea, Pietro, Fontana, Tommaso, Sarro, Giuliano, Dinuzzi, Vincenza Paola, Scaravilli, Luca, Papa, Mario Virgilio, Jovine, Elio, Ciabatti, Giulia, Mastrangelo, Laura, Rottoli, Matteo, Ricci, Claudio, Russo, Iris Shari, Aiolfi, Alberto, Bona, Davide, Lombardo, Francesca, Cianci, Pasquale, Bini, Roberto, Chiara, Osvaldo, Cioffi, Stefano, Cantafio, Stefano, Coretti, Guido, Licitra, Edelweiss, Savino, Grazia, Grimaldi, Sergio, Porfidia, Raffaele, Moggia, Elisabetta, Garino, Mauro, Marafante, Chiara, Pesce, Antonio, Fabbri, Nicolò, Feo, Carlo Vittorio, Marra, Ester, Troian, Marina, Drigo, Davide, Nagliati, Carlo, Andrea, Muratore, Danna, Riccardo, Murgese, Alessandra, Crespi, Michele, Guerci, Claudio, Frontali, Alice, Ferrari, Luca, Favi, Francesco, Picariello, Erika, Rampini, Alessia, D'Acapito, Fabrizio, Ercolani, Giorgio, Solaini, Leonardo, Palmieri, Francesco, Calì, Matteo, Ferrara, Francesco, Muttillo, Irnerio Angelo, Muttillo, Edoardo Maria, Picardi, Biagio, Galleano, Raffaele, Badran, Ali, Ghazouani, Omar, Cervellera, Maurizio, Campanella, Gaetano, Papa, Gennaro, Di Bella, Annamaria, Perrone, Gennaro, Petracca, Gabriele Luciano, Prioriello, Concetta, Giuffrida, Mario, Cozzani, Federico, Rossini, Matteo, Inama, Marco, Butturini, Giovanni, Moretto, Gianluigi, Morelli, Luca, Di Candio, Giulio, Guadagni, Simone, Cicuttin, Enrico, Cremonini, Camilla, Tartaglia, Dario, Genovese, Valerio, Cillara, Nicola, Cannavera, Alessandro, Deserra, Antonello, Picciariello, Arcangelo, Papagni, Vincenzo, Vincenti, Leonardo, Bagaglini, Giulia, Sica, Giuseppe, Lapolla, Pierfrancesco, Brachini, Gioia, Bono, Dario, Nicotera, Antonella, Zago, Marcello, Sammartano, Fabrizio, Benuzzi, Laura, Stella, Marco, Rossi, Stefano, Cerioli, Alessandra, Puccioni, Caterina, Olmi, Stefano, Rubicondo, Carolina, Uccelli, Matteo, Balla, Andrea, Guida, Anna, Lepiane, Pasquale, Sasia, Diego, Giraudo, Giorgio, Salomone, Sara, Belloni, Elena, Cossa, Alessandra, Lancellotti, Francesco, Caronna, Roberto, Chirletti, Piero, Saullo, Paolina, Troiano, Raffaele, Mucilli, Felice, Barone, Mirko, Ippoliti, Massimo, Grande, Michele, Sensi, Bruno, Siragusa, Leandro, Ortenzi, Monica, Santini, Andrea, Di Carlo, Isidoro, Veroux, Massimiliano, Gioco, Rossella, Veroux, Gastone, Currò, Giuseppe, Ammendola, Michele, Komaei, Iman, Navarra, Giuseppe, Tonini, Valeria, Sartarelli, Lodovico, Vaccari, Samuele, Ceresoli, Marco, Perrone, Stefano, Roccamatisi, Linda, Millo, Paolo, Contul, Riccardo Brachet, Ponte, Elisa, Zuin, Matteo, Portale, Giuseppe, Tonello, Alice Sabrina, Fratini, Geri, Bianchini, Matteo, Perotti, Bruno, Doria, Emanuele, Lunghi, Elia Giuseppe, Visconti, Diego, Al-Shami, Khayry, Awadi, Sajeda, Khalil Buwaitel, Mohammad Musallam, Naief Naffa', Mo'taz Fawzat, Samhouri, Ahmad, Sawalha, Hatem, Ramzi Yusoff, Ahmad, Che Ani, Mohd Firdaus, Ahmed Fathil, Ida Nadiah, Huei, Jih, Zakaria, Andee Dzulkarnaen, Ya'acob, Mohammad Zawawi, Beristain-Hernandez, Jose-Luis, Garcia-Meza, Alejandro, Sepulveda-Rdriguez, Rafael, Lozada Hernández, Edgard Efren, Acuña Pinzón, Camilo Levi, Condoy, Jefferson Nieves, Becerra García, Francisco C., Sadik, Mohammad, Jalpa, kadir, Bushra, Devi, Jalpa, Seerani, Nandlal, Zainab, Asghar, Mohammad Sohail, Afzal, Ameer, Akbar, Ali, Lohse, Helmut Segovia, Lohse, Herald Segovia, Artidoro Quispe-Cruz, Darwin, Leon Cabrera, Zamiara Solange, Yamamoto Seto, Gaby Susana, Chiuyari, José Ríos, Ordemar, Jorge, Rodríguez, Martha, Orantia-Carlos, Abigail Cheska C., Quitoy, Margie Antionette, Kwiatkowski, Andrzej, Mawlichanów, Maciej, Rocha, Mónica, Soares, Carlos, Muhammad Ali, Syed, Stoian, Alexandru Rares, Diana Draghici, Andreea, Draghici, Andreea Diana, Grigorean, Valentin Titus, Radulescu, Raluca Bievel, Costea, Radu Virgil, Zarnescu, Eugenia Claudia, Kurtenkov, Mikhail, Gendrikson, George, Alla-Angelina, Volovich, Arina, Tsurbanova, Kaldarov, Ayrat, Gachabayov, Mahir, Abdullaev, Abakar, Milentijevic, Milica, Karamarkovic, Milovan, Panyko, Arpád, Radonak, Jozef, Soltes, Marek, Álvarez Morán, Laura, García, Haydée Calvo, Vega, Pilar Suárez, Estevez, Sergio, Ausania, Fabio, Farguell, Jordi, González-Abós, Carolina, Sánchez-Cabús, Santiago, Martín, Belén, Molina, Víctor, Oms, Luis, Ilzarbe, Lucas, Feijóo, Eva Pont, Perra, Elena Sofia, Rojas-Bonet, Noel, Penalba-Palmí, Rafael, Pérez-Bru, Susana, Tur-Martínez, Jaume, Álvarez-Torrado, Andrea, Domingo-Gonzalez, Marta, Tejedor-Tejada, Javier, Di Martino, Marcello, García del Alamo, Yaiza, Mendoza-Moreno, Fernando, García-Moreno-Nisa, Francisca, Matías-García, Belén, Durán, Manuel, Calleja-Lozano, Rafael, Perez de Villar, José Manuel, Sánchez-Guillén, Luis, Caravaca, Iban, Triguero-Cánovas, Daniel, Maya Aparicio, Antonio Carlos, Meléndez, Blas Durán, Palacios, Andrea Masiá, Landaluce-olavarria, Aitor, De Francisco, Mario, Estraviz-Mateos, Begoña, Alconchel, Felipe, Nicolás-López, Tatiana, Ramírez, Pablo, Muñoz-Cruzado, Virginia Duran, Ciuró, Felipe Pareja, Perea del Pozo, Eduardo, Pizarro, Sergio Olivares, Cabrera, Vicente Herrera, Bayo, Jose Muros, Hamid, Hytham K.S., Roesel, Raffaello, Cristaudi, Alessandra, Abbas, Kinan, Ali, Iyad, Tlili, Ahmed, Bayhan, Hüseyin, Türkoğlu, Mehmet Akif, Uzunoglu, Mustafa Yener, Azamat, Ibrahim Fethi, Omarov, Nail, Uymaz, Derya Salim, Altintoprak, Fatih, Akin, Emrah, First, Necattin, Das, Koray, Ozer, Nazmi, Seker, Ahmet, Kara, Yasin, Bozkurt, Mehmet Abdussamet, Kocataş, Ali, Atici, Semra Demirli, Akalin, Murat, Calik, Bulent, Colak, Elif, Altinel, Yuksel, Meric, Serhat, Aktimur, Yunus Emre, Hudson, Victoria, Duval, Jean-Luc, Khan, Mansoor, Saad, Ahmed, Kaur, Mandeep, Bradley, Alison, Fox, Katherine, Tomasi, Ivan, Beasley, Daniel, Prasanti, Alekhya Kotta, Kotecha, Pinky, Ebied, Husam, Paul, Michaela, Sheth, Hemant, Gerogiannis, Ioannis, Gaber, Mohannad, Sheikh, Zara, Seth, Shatadru, Kunitsyna, Maria, Leo, Cosimo Alex, Bellato, Vittoria, Zafar, Noman, Elserafy, Amr, Bond-smith, Giles, Tebala, Giovanni, Mathur, Pawan, Abid, Izza, Chidumije, Nnaemeka, Sandhar, Pardip, Zohaib Ullah, Syed Osama, Lezama, Tamara, Anwaar, Muhammad Hassan, Magee, Conor, Ahmed, Salma, Davies, Brooke, Apollos, Jeyakumar, McCormack, Kieran, Choudhary, Hasham, Doulias, Triantafyllos, Morrison, Tamsin, Palepa, Anna, Cal, Fernando Bonilla, Sánchez, Lianet, Domínguez, Fabiana, Al-Raimi, Ibrahim, Alshargabi, Haneen, Meead, Abdullah, Di Saverio, Salomone, Damaskos, Dimitrios, Agnoletti, Vanni, and Mole, Damian

Published
2022
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10. Ileocecal valve syndrome and vitamin b12 deficiency after surgery: a multicentric prospective study

Author

Germani, Paola, Zucca, Annalisa, Giudici, Fabiola, Terranova, Susanna, Troian, Marina, Samardzic, Natasa, Greco, Marco, Janez, Jurij, Gasparini, Camilla, Cagnazzo, Emanuela, Vignali, Andrea, Giannone Codiglione, Fabio, Armellini, Andrea, Fumagalli, Uberto Romario, Rosati, Riccardo, Piccinni, Giuseppe, Megevand, Jacques, Tomazic, Ales, Corcione, Francesco, Palmisano, Silvia, and de Manzini, Nicolò

Published
2021
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17. Correction to: Ileocecal valve syndrome and vitamin b12 deficiency after surgery: a multicentric prospective study

Author

Germani, Paola, Zucca, Annalisa, Giudici, Fabiola, Terranova, Susanna, Troian, Marina, Samardzic, Natasa, Greco, Marco, Janez, Jurij, Gasparini, Camilla, Cagnazzo, Emanuela, Vignali, Andrea, Giannone Codiglione, Fabio, Armellini, Andrea, Fumagalli, Uberto Romario, Rosati, Riccardo, Piccinni, Giuseppe, Megevand, Jacques, Tomazic, Ales, Corcione, Francesco, Palmisano, Silvia, and de Manzini, Nicolò

Published
2020
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19. The Added Value of Intraoperative Near-Infrared Fluorescence Imaging in Elective Laparoscopic Cholecystectomy.

Author

Iacuzzo, Cristiana, Bressan, Livia, Troian, Marina, Germani, Paola, Giudici, Fabiola, and Bortul, Marina

Subjects
CHOLANGIOGRAPHY, EVALUATION research, DIAGNOSTIC imaging, LIGHT, LAPAROSCOPIC surgery, QUESTIONNAIRES, CHOLECYSTECTOMY, RETROSPECTIVE studies, RANDOMIZED controlled trials, INDOLE compounds, RESEARCH, RESEARCH methodology, COMPARATIVE studies
Abstract

Bile duct injury is a major complication of laparoscopic cholecystectomy (LC). Intraoperative cholangiogram is useful, but faster techniques are available to assist the surgeon, like near-infrared fluorescent cholangiography (NIFC) with indocyanine green (ICG). The aim of our study is to evaluate the usefulness of NIFC during LC. This is a retrospective study conducted on prospectively recorded data of the General Surgery department of Trieste Academic Hospital, Italy. All patients underwent elective LC from January 2016 to January 2020. Patients were randomly divided in 2 groups: in one group, only white light imaging was used (n = 98 patients), in the NIFC group (n = 63) ICG was used. NIFC has been chosen more frequently by residents than consultants (P = .002). Operative time and length of stay resulted shorter in ICG group (P = .002 and .006), and this group showed also fewer intraoperative complications (P = .007). NIFC does not require any learning curve and makes surgery faster and safer. [ABSTRACT FROM AUTHOR]

Published
2022
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24. Ileocecal valve syndrome and vitamin b12 deficiency after surgery: a multicentric prospective study

Author

Germani, Paola, primary, Zucca, Annalisa, additional, Giudici, Fabiola, additional, Terranova, Susanna, additional, Troian, Marina, additional, Samardzic, Natasa, additional, Greco, Marco, additional, Janez, Jurij, additional, Gasparini, Camilla, additional, Cagnazzo, Emanuela, additional, Vignali, Andrea, additional, Giannone Codiglione, Fabio, additional, Armellini, Andrea, additional, Fumagalli, Uberto Romario, additional, Rosati, Riccardo, additional, Piccinni, Giuseppe, additional, Megevand, Jacques, additional, Tomazic, Ales, additional, Corcione, Francesco, additional, Palmisano, Silvia, additional, and de Manzini, Nicolò, additional

Published
2020
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26. Super-Selective Mesenteric Embolization as Guide for Surgical Resection in Bleeding Small Bowel Angiodysplasia.

Author

Germani, Paola, Bellio, Gabriele, Bernardi, Laura, Biloslavo, Alan, Kurihara, Hayato, de Manzini, Nicolò, Galvanin, Jacopo, Martinolli, Stefano, and Troian, Marina

Subjects
INTESTINAL surgery, VASCULAR disease diagnosis, BLOOD vessels, GASTROINTESTINAL hemorrhage, THERAPEUTIC embolization, RECTUM, ANEMIA, ENDOSCOPIC gastrointestinal surgery, COMPUTED tomography, INTESTINES
Abstract

We present the case of a 79-year-old woman and of a 43-year-old man with no relevant past medical history. Both patients were admitted to the emergency department for anemia and rectal bleeding. After resuscitation, the two patients underwent colonoscopy and gastroscopy, both negative. Computed tomography angiography revealed active bleeding from the small bowel in both cases. The first patient underwent angiography and mesenteric embolization with surgical glue, obtaining a complete stop of the bleeding. After 2 days, a small bowel resection was performed under the guidance of the segmental bowel ischemia secondary to embolization. In the second patient, the angiography revealed a large jejunal angiodysplasia. Therefore, a mesenteric super-selective embolization was carried out. The intraoperative identification of the coils allowed to guide the following bowel resection. The postoperative course was uneventful in both patients. Small bowel angiodysplasia is a rare cause of lower gastrointestinal bleeding. In most patients, bleeding stops spontaneously. However, patients with ongoing active bleeding non-responding to conservative treatment may need invasive procedures. The use of super-selective mesenteric embolization is highly successful and relatively safe. When surgery is necessary, identification of the bleeding site is troublesome. In this setting, angioembolization could help to identify the correct site of bleeding, thus allowing to perform a segmental small bowel resection. [ABSTRACT FROM AUTHOR]

Published
2021
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37. US Anatomy of Hollow Viscus

Author

da Silva, Antonio Rodrigues, Casamassima, Andrea, Constantino, Julio, Farré Font, Roser, Güell Farré, Mercé, Bass, Gary Alan, Zago, Mauro, editor, Troian, Marina, editor, and Mariani, Diego, editor

Published
2023
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39. The Added Value of Intraoperative Near-Infrared Fluorescence Imaging in Elective Laparoscopic Cholecystectomy

Author

Paola Germani, Marina Bortul, Fabiola Giudici, Livia Bressan, Marina Troian, Cristiana Iacuzzo, Iacuzzo, Cristiana, Bressan, Livia, Troian, Marina, Germani, Paola, Giudici, Fabiola, and Bortul, Marina

Subjects
medicine.medical_specialty, indocyanine green, bile duct injury, cholangiography, Fluorescence, chemistry.chemical_compound, Cholangiography, medicine, White light, Humans, Major complication, Laparoscopic cholecystectomy, laparoscopic cholecystectomy, Retrospective Studies, medicine.diagnostic_test, Bile duct, business.industry, Optical Imaging, Retrospective cohort study, near-infrared fluorescent cholangiography, Surgery, medicine.anatomical_structure, Cholecystectomy, Laparoscopic, chemistry, Operative time, business, Indocyanine green
Abstract

Bile duct injury is a major complication of laparoscopic cholecystectomy (LC). Intraoperative cholangiogram is useful, but faster techniques are available to assist the surgeon, like near-infrared fluorescent cholangiography (NIFC) with indocyanine green (ICG). The aim of our study is to evaluate the usefulness of NIFC during LC. This is a retrospective study conducted on prospectively recorded data of the General Surgery department of Trieste Academic Hospital, Italy. All patients underwent elective LC from January 2016 to January 2020. Patients were randomly divided in 2 groups: in one group, only white light imaging was used (n = 98 patients), in the NIFC group (n = 63) ICG was used. NIFC has been chosen more frequently by residents than consultants ( P = .002). Operative time and length of stay resulted shorter in ICG group ( P = .002 and .006), and this group showed also fewer intraoperative complications ( P = .007). NIFC does not require any learning curve and makes surgery faster and safer.

Published
2022

40. Serum carcinoembryonic antigen pre-operative level in colorectal cancer: revisiting risk stratification

Author

Tommaso Cipolat Mis, Paola Germani, Edoardo Osenda, Nicolò de Manzini, Cristiana Iacuzzo, Fabiola Giudici, Marina Troian, Marina Bortul, Iacuzzo, Cristiana, Germani, Paola, Troian, Marina, Cipolat Mis, Tommaso, Giudici, Fabiola, Osenda, Edoardo, Bortul, Marina, and de Manzini, Nicolo

Subjects
Oncology, medicine.medical_specialty, Colorectal cancer, Prognosi, colorectal cancer, Risk Assessment, 03 medical and health sciences, 0302 clinical medicine, Carcinoembryonic antigen, Retrospective Studie, Internal medicine, medicine, Biomarkers, Tumor, Humans, Stage (cooking), prognostic factor, Retrospective Studies, Tumor, Receiver operating characteristic, biology, business.industry, carcinoembryonic antigen, Retrospective cohort study, General Medicine, medicine.disease, Prognosis, Colorectal surgery, Pre operative, Neoplasm Recurrence, Local, 030220 oncology & carcinogenesis, Cohort, biology.protein, 030211 gastroenterology & hepatology, Surgery, colorectal surgery, Neoplasm Recurrence, Local, business, Colorectal Neoplasms, Carcinoembryonic Antigen, Biomarkers, Human
Abstract

BackgroundResults Biomarkers may play a role as predictive and prognostic factors in colorectal cancer patients. The aims of the study were to verify the prognostic role of pre-operative serum carcinoembryonic antigen (CEA) level in predicting overall survival and risk of recurrence in a cohort of colorectal cancer patients and to evaluate optimal cut-off values.Methods A retrospective cohort analysis was performed on colorectal cancer patients undergoing elective curative surgery between 2004 and 2019 at an Italian Academic Hospital. Main outcomes were overall survival, disease-free survival at 3-years and risk of local, loco-regional and distant recurrence during follow-up. A receiver operating characteristic (ROC) curve analysis was plotted using CEA pre-operative values and follow-up data in order to estimate the optimal cut-off values.A total of 559 patients were considered. The mean CEA value was 12.1 +/- 54.1 ng/mL, and the median 29.3 (0-4995) ng/mL. The ROC curve analysis identified 12.5 ng/mL as the best CEA cut-off value to predict the risk of metastatic development after surgery in stage I-III colorectal cancer patients, and 10 ng/mL as the best CEA cut-off value to predict overall survival and disease-free survival in stage III-IV patients. These data suggest a stratification of colorectal cancer patients in three classes of risk: a low risk class (CEA 12.5 ng/mL).Conclusion In conclusion, pre-operative serum CEA measurements could integrate information to enhance patient risk stratification and tailored therapy.

Published
2021

41. Ileocecal valve syndrome and vitamin b12 deficiency after surgery: a multicentric prospective study

Author

Marco Greco, Riccardo Rosati, Camilla Gasparini, Silvia Palmisano, Jacques Megevand, Natasa Samardzic, Andrea Vignali, Andrea Armellini, Fabiola Giudici, Uberto Fumagalli, Paola Germani, Giuseppe Piccinni, Francesco Corcione, Susanna Terranova, Marina Troian, Fabio Giannone Codiglione, Nicolò de Manzini, Jurij Janez, Annalisa Zucca, Ales Tomazic, Emanuela Cagnazzo, Germani, Paola, Zucca, Annalisa, Giudici, Fabiola, Terranova, Susanna, Troian, Marina, Samardzic, Natasa, Greco, Marco, Janez, Jìurij, Gasperini, Camilla, Cagnazzo, Eliana, Vignali, Andrea, Giannone Codiglione, Fabio, Armellini, Andrea, Fumagalli, Uberto Romario, Rosati, Riccardo, Piccinni, Giuseppe, Megevand, Jacque, Tomazic, Ale, Corcione, Francesco, Palmisano, Silvia, and de Manzini, Nicolò

Subjects
Quality of life, Male, medicine.medical_specialty, Ileocecal valve, Ileum, Ileocecal valve syndrome, EORTC-QLQ-CR29, GIQLI, Ileocecal junction, Vitamin B12, Colectomy, Female, Humans, Prospective Studies, Quality of Life, Surveys and Questionnaires, Ileocecal Valve, Vitamin B 12 Deficiency, 03 medical and health sciences, 0302 clinical medicine, Medicine, Stage (cooking), Prospective cohort study, business.industry, humanities, Surgery, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Right Colectomy, Original Article, 030211 gastroenterology & hepatology, business
Abstract

Patients undergoing colon resection are often concerned about their functional outcomes after surgery. The primary aim of this prospective, multicentric study was to assess the intestinal activity and health-related quality-of-life (HRQL) after ileocecal valve removal. The secondary aim was to evaluate any vitamin B12 deficiency. The study included patients undergoing right colectomy, extended right colectomy and ileocecal resection for either neoplastic or benign disease. Selected items of GIQLI and EORTC QLQ-CR29 questionnaires were used to investigate intestinal activity and HRQL before and after surgery. Blood samples for vitamin B12 level were collected before and during the follow-up period. The empirical rule effect size (ERES) method was used to explain the clinical effect of statistical results. Linear mixed effect (LME) model for longitudinal data was applied to detect the most important parameters affecting the total score. A total of 158 patients were considered. Applying the ERES method, the analysis of both questionnaires showed clinically and statistically significant improvement of HRQL at the end of the follow-up period. Applying the LME model, worsening of HRQL was correlated with female gender and ileum length when using GIQLI questionnaire, and with female gender, open approach, and advanced cancer stage when using the EORTC QLQ-CR29 questionnaire. No significant deficiency in vitamin B12 levels was observed regardless of the length of surgical specimen. In our series, no deterioration of HRQL and no vitamin B12 deficiency were found during the follow-up period. Nevertheless, warning patients about potential changes in bowel habits is mandatory. In our series, no deterioration of HRQL and no vitamin B12 deficiency were found during the follow-up period. Nevertheless, warning patients about potential changes in bowel habits is mandatory.

Published
2021

42. Non-operative management of rectal cancer: future perspectives turning into reality?

Author

Pio Corleone, Marina Troian, Nicolò de Manzini, Gabriele Bellio, DE Manzini, Nicolò, Bellio, Gabriele, Corleone, Pio, and Troian, Marina

Subjects
medicine.medical_specialty, Colorectal cancer, rectal cancer, surgery, non operative management, Adenocarcinoma, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Neoadjuvant treatment, Intervention (counseling), Humans, Medicine, Complete response, Salvage Therapy, Clinical Trials as Topic, Rectal Neoplasms, business.industry, Patient Selection, General surgery, Remission Induction, Chemoradiotherapy, medicine.disease, Combined Modality Therapy, Magnetic Resonance Imaging, Neoadjuvant Therapy, Treatment Outcome, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Neoplasm Recurrence, Local, Tomography, X-Ray Computed, business, Organ Sparing Treatments, Forecasting, Neoadjuvant chemoradiotherapy
Abstract

The management of rectal cancer has considerably changed over the last decades and complete response to neoadjuvant chemoradiotherapy is becoming a common clinical entity. There is still no consensus on the definition of complete response to neoadjuvant treatment prior to surgery. Treatment programs are mostly heterogeneous and non-randomized. In addition, techniques to diagnose complete response are still unclear and there is no uniformity in surveillance modality of those patients managed without operative intervention. We review the most recent evidences reported in literature.

Published
2018

43. Rationality in prophylactic central neck dissection in clinically node-negative (cN0) papillary thyroid carcinoma: Is there anything more to say? A decade experience in a single-center

Author

N. de Manzini, Bruno Fabris, G. Rebez, F. Di Gregorio, Lanfranco Piscopello, T. Cipolat Mis, Stella Bernardi, Marina Troian, Petra Makovac, Chiara Dobrinja, Dobrinja, Chiara, Troian, Marina, CIPOLAT MIS, Tommaso, Rebez, Giacomo, Bernardi, Stella, Fabris, Bruno, Piscopello, L., Makovac, Petra, Di Gregorio, F., and de Manzini, Nicolo'

Subjects
Male, endocrine system diseases, Survival, medicine.medical_treatment, 030230 surgery, Single Center, Postoperative Complications, 0302 clinical medicine, Risk Factors, Recurrence, Epidemiology, Prospective Studies, Lymph node, Morbidity, Papillary thyroid carcinoma, Prophylactic central neck dissection, Treatment, Surgery, Aged, 80 and over, Total thyroidectomy, Prophylactic Surgical Procedures, General Medicine, Middle Aged, Combined Modality Therapy, Treatment Outcome, medicine.anatomical_structure, Thyroid Cancer, Papillary, Lymphatic Metastasis, 030220 oncology & carcinogenesis, Thyroidectomy, Neck Dissection, Female, Adult, medicine.medical_specialty, Adolescent, Thyroid carcinoma, Young Adult, 03 medical and health sciences, Hypothyroidism, medicine, Humans, Thyroid Neoplasms, Risk factor, Aged, Retrospective Studies, business.industry, Neck dissection, Carcinoma, Papillary, Node negative, Recurrent Laryngeal Nerve Injuries, Lymph Nodes, Neoplasm Recurrence, Local, business
Abstract

Aim Papillary thyroid carcinoma (PTC) is the most common thyroid malignancy. Despite its extremely favorable prognosis, cervical lymph node metastases are a common feature of PTC and a known independent risk factor for local recurrence. However, the role of prophylactic central neck dissection (PCND) remains a matter of debate in patients with clinically node-negative (cN0) PTC. To better clarify the current role of PCND in the surgical treatment of PTC, evaluating advantages and disadvantages of PCND and outcome of cN0 PTC patients who have been treated with either total thyroidectomy alone or in combination with PCND. A review of recent literature data is performed. Methods Between January 2000 and December 2015, 186 consecutive patients with cN0 PTC were identified to be included in the present study. 74 of these underwent total thyroidectomy associated with PCND, while 112 patients underwent total thyroidectomy alone. The epidemiological and clinical-pathological data of all patients included were collected at diagnosis and during follow-up. Results Overall complication rate was significantly higher in the group of patients undergoing PCND (39.2% vs. 17.8%, p = 0.0006). To be specific, they presented a considerably increased risk of temporary recurrent laryngeal nerve injury ( p = 0.009) and of permanent hypothyroidism ( p = 0.016). Overall survival and recurrence rates did not differ between those undergoing PCND and those undergoing total thyroidectomy alone ( p = 1.000 and p = 0.715, respectively). Conclusions The results of the present study do not support the routine use of PCND in the treatment of cN0 PTC patients.

Published
2017

44. Partial thyroidectomy for papillary thyroid microcarcinoma: Is completion total thyroidectomy indicated?

Author

Chiara Dobrinja, Marina Troian, N. de Manzini, Stella Bernardi, F. Da Canal, M. Pastoricchio, Bruno Fabris, Dobrinja, Chiara, Pastoricchio, Manuela, Troian, Marina, DA CANAL, Francesca, Bernardi, Stella, Fabris, Bruno, and de Manzini, Nicolo'

Subjects
Adult, Male, medicine.medical_specialty, Papillary thyroid microcarcinoma, Completion thyroidectomy, Hemithyroidectomy, Risk stratification, Surgical management, Total thyroidectomy, Surgery, 030209 endocrinology & metabolism, Group B, Lesion, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Thyroid Neoplasms, Thyroid cancer, Lymph node, Retrospective Studies, business.industry, Incidence (epidemiology), General Medicine, Middle Aged, medicine.disease, Carcinoma, Papillary, Treatment Outcome, medicine.anatomical_structure, Cervical lymph nodes, Lymphatic Metastasis, 030220 oncology & carcinogenesis, Thyroidectomy, Female, Neoplasm Recurrence, Local, medicine.symptom, business, Follow-Up Studies
Abstract

Aim: Papillary thyroid microcarcinoma (PTMC) is increasing in incidence. Despite its excellent clinical outcomes, there is still debate regarding which surgical approach is more appropriate for PTMC, procedures including hemithyroidectomy (HT), total thyroidectomy (TT), and completion thyroidectomy (CT) after initial HT and histopathologic examination confirming a PTMC. Here we report our experience in the surgical management of PTMC. Methods: We conducted a retrospective evaluation of all patients who received a postoperative diagnosis of PTMC between January 2001 and January 2016. Every patient was divided according to the type of surgery performed (TT or HT alone). Follow-up consisted of regular clinical and neck ultrasonographic examination. Clinical and histopathological parameters (e.g. age, sex, lesion size, histological features, multifocality, lymph node metastases, BRAF status when available) as well as clinical outcomes (e.g. complications rates, recurrence, overall survival) were analyzed. Results: Group A consisted of 86 patients who underwent TT, whereas Group encompassed 19 patients who underwent HT. Mean follow-up period was 58.5 months. In Group A, one patient (1.2%) experienced recurrence in cervical lymph nodes with need for reoperation. In Group B, eight patients (42%) underwent completion thyroidectomy after histopathological examination confirming PTMC, while one patient (5.3%) developed PTMC in the contralateral lobe with need for reoperation at 2 years after initial surgery. Multifocality was found in 19 patients in Group A (22%). Of these, 14 presented bilobar involvement, whereas in 3 cases multifocality involved only one lobe. 1 patient in Group B (5.3%) presented with unilateral multifocal PTMC (p ¼ 0.11). Conclusions: Low-risk patients with PTMC may benefit from a more conservative treatment, e.g. HT followed by close follow-up. However, appropriate selection of patients based on risk stratification is the key to differentiate therapy options and gain better results.

Published
2017

45. Primary anorectal melanoma: a case of 5 year disease-free survival

Author

Monica Urbani, Marina Troian, Gabriele Bellio, Marina Bortul, Urbani, Monica, Troian, Marina, Bellio, Gabriele, and Bortul, Marina

Subjects
medicine.medical_specialty, Disease free survival, Anorectal, Bleeding, Melanoma, Surgery, Therapy, Abdominoperineal resection, business.industry, General surgery, Melanoma, Bleeding, Anorectal, White female, Tailored treatment, medicine.disease, medicine, Surgery, Anorectal melanoma, Therapy, Radical surgery, business, Survival rate
Abstract

Anorectal melanoma is a rare cause of anorectal malignancies affecting mainly elderly people without significant gender differences, although there seems to be a white predominance. Diagnosis is often challenging, since symptoms are frequently nonspecific. Radical surgery is the mainstay of treatment, while adjuvant therapies are generally of limited value. Thus, prognosis is still grim, with a 5-year survival rate of less than 20%. We report the case of a 75-year-old white female presenting with mild anal pain and blood in stools. Diagnosed with an ulcerated melanoma of the perianal area, she eventually underwent an abdominoperineal resection and bilateral inguinal lymphadenectomy. To date, she is currently alive and disease-free. Given the lack of adequate international guidelines, we recommend defining a tailored treatment by thorough multidisciplinary discussion, as well as taking into account the patient personal preference.

Published
2017

46. Trans-anal full-thickness endoscopic resection of a rectal neuroendocrine neoplasm performed with a TEO®(Karl Storz microsurgery device) and laparoscopic indocyanine-green-guided lymphatic sampling - a video vignette

Author

A. Balduzzi, Piera Leon, N. de Manzini, Marina Troian, Leon, Piera, Balduzzi, Alberto, Troian, Marina, and de Manzini, Nicolo'

Subjects
medicine.medical_specialty, Rectal Neuroendocrine Neoplasm, business.industry, Sentinel lymph node, rectal neuroendocrine neoplasm, transanal videoassisted surgery, Gastroenterology, Neuroendocrine tumors, medicine.disease, Surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Lymphatic system, 030220 oncology & carcinogenesis, Submucosa, Medicine, 030211 gastroenterology & hepatology, Radiology, transanal videoassisted surgery, Intermediate Grade, business, Lymph node, Survival rate, rectal neuroendocrine neoplasm
Abstract

Rectal neuroendocrine neoplasms (NEN) are increasingly diagnosed worldwide Compared to colonic NEN's, they are commonly smaller, less aggressive, with a low to intermediate grade of differentiation. A 5-year survival rate as high as 88% has been reported[1,2]. The risk of malignancy is closely related to tumour size, depth of invasion and lymph node involvement [1-3]. The incidence of lymph node metastasis increases with tumour (1-10mm 5.4%, 10-20mm 30%, >21mm 70%). The risk of lymph node metastasis increases with tumour depth (12% if submucosa is involved and 56% when the muscolaris propria is involved) [3-5]. This article is protected by copyright. All rights reserved.

Published
2017

47. Self-adhesive mesh for Lichtenstein inguinal hernia repair. Experience of a single center

Author

P, Tarchi, D, Cosola, P, Germani, M, Troian, N, De Manzini, Tarchi, Paola, Cosola, Davide, Germani, Paola, Troian, Marina, and de Manzini, Nicolo'

Subjects
Adult, Male, Hernia, Polyesters, Operative Time, Polyester, Pain, Hernia, Inguinal, Risk Assessment, Follow-Up Studie, Hypesthesia, Recurrence, Retrospective Studie, 80 and over, Humans, Postoperative, Herniorrhaphy, Retrospective Studies, Aged, Pain Measurement, Aged, 80 and over, Pain, Postoperative, Equipment Design, Female, Follow-Up Studies, Middle Aged, Quality of Life, Treatment Outcome, Collagen, Surgical Mesh, Inguinal, Human
Abstract

Lichtenstein tension-free mesh repair is the most frequently performed procedure for inguinal hernioplasty. In the past surgery aimed to control recurrences. Nowadays it is important to avoid postoperative chronic pain and thus several studies have examined the potential role of meshes in causing postoperative pain. The purpose of this study was to retrospectively assess the early and long-term results after Lichtenstein tension-free repair using a self-adhesive mesh (Parietex ProgripTM - Covidien, Germany) in a single center.The study enrolled 211 patients, 199 males (94.3%) and 12 females (5.7%), mean age 62 years (28-90 years), between January 2008 and December 2011. Of these, 206 had primary inguinal hernias while 5 were recurrences following previous tension repair. Ten different general surgeons, including residents, performed Lichtenstein hernia repair using a 12 x 8-cm Parietex ProgripTM mesh. In 88.1% of patients no additional fixation was used, while in 11.9% a single 2-0 polypropylene stitch was placed on the pubic bone. A 1-10 visual analog scale (VAS) was used to assess postoperative pain, evaluating it at 1 week, 1 month and 12, 24 and 36 months. Local paresthesia was assessed at same intervals. Any pain sensation lasting longer than 3 months postoperatively, or requiring injection of analgesics was defined as chronic pain.Mean operating time was 64.1 minutes (SD ± 21.14). There were no intraoperative complications. Early postoperative complications included hematoma-seroma (5.7% cases), superficial wound infection (1%), urinary retention (0.5%), and scrotal swelling (1%). The main follow-up period was 3 years, although patients operated between 2009 and 2011 underwent a shorter follow-up. At one-year follow-up, 17 patients reported groin discomfort, but did not require analgesics. Three patients reported moderate pain, requiring occasional use of oral analgesics, and 2 of these described a discontinuous pain mainly during movement. One patient reported severe pain requiring local injection of analgesics. At 2-year follow-up, 3 patients reported groin discomfort. Five of the 17 patients who reported discomfort at 1 year were lost to the 2-year follow-up. One patient kept reporting a high VAS score (6), though slightly reduced from the previously reported at 1-year follow-up. Recurrence was observed in 0.5% at 1 year and in 2.4% at 2 years. At 3 years only half of the patients (102) were still on follow-up. Of these, 1 reported mild discomfort and 3 developed hernia recurrence. Globally a decrease in pain and local discomfort was observed. No cases of seroma, testicular complications or mesh infection were reported at 1-, 2- and 3-year follow-up.Self-gripping mesh for inguinal hernia repair is a good and safe option, easy to handle and with a low incidence of chronic pain (3%). A sutureless fixation seems to prevent the development of postoperative chronic pain, without increasing recurrence rates. Using a self-adhesive mesh also slightly reduce operating times, and costs are lower when compared to biological glue used to fix the mesh. In conclusion, our experience with the self-gripping mesh is limited but positive, randomized clinical trials are warranted to confirm our results.

Published
2014

48. Non-operative management of rectal cancer: future perspectives turning into reality?

Author

DE Manzini N, Bellio G, Corleone P, and Troian M

Subjects
Adenocarcinoma diagnostic imaging, Adenocarcinoma surgery, Clinical Trials as Topic, Combined Modality Therapy, Forecasting, Humans, Magnetic Resonance Imaging, Neoplasm Recurrence, Local prevention & control, Neoplasm Recurrence, Local surgery, Organ Sparing Treatments methods, Patient Selection, Postoperative Complications prevention & control, Rectal Neoplasms diagnostic imaging, Rectal Neoplasms surgery, Remission Induction, Salvage Therapy, Tomography, X-Ray Computed, Treatment Outcome, Adenocarcinoma therapy, Chemoradiotherapy, Neoadjuvant Therapy, Rectal Neoplasms therapy
Abstract

The management of rectal cancer has considerably changed over the last decades and complete response to neoadjuvant chemoradiotherapy is becoming a common clinical entity. There is still no consensus on the definition of complete response to neoadjuvant treatment prior to surgery. Treatment programs are mostly heterogeneous and non-randomized. In addition, techniques to diagnose complete response are still unclear and there is no uniformity in surveillance modality of those patients managed without operative intervention. We review the most recent evidences reported in literature.

Published
2018
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49. Laparoscopic vs. open approach for pT3/pT4 colorectal cancer in the elderly: ten-year experience in a single center.

Author

Troian M, Bellio G, Pasquali A, and de Manzini N

Subjects
Adenocarcinoma pathology, Adenocarcinoma secondary, Age Factors, Aged, Aged, 80 and over, Colorectal Neoplasms pathology, Disease-Free Survival, Elective Surgical Procedures, Female, Humans, Kaplan-Meier Estimate, Length of Stay statistics & numerical data, Lymph Node Excision, Lymphatic Metastasis, Male, Neoplasm Recurrence, Local epidemiology, Neoplasm Staging, Postoperative Complications epidemiology, Reoperation statistics & numerical data, Retrospective Studies, Treatment Outcome, Adenocarcinoma surgery, Colectomy methods, Colorectal Neoplasms surgery, Laparoscopy methods, Laparotomy methods
Abstract

Background: The role of laparoscopic surgery for pT3/pT4 colorectal cancer (CRC) is still under debate. The aim of this study was to compare the outcomes of laparoscopic and open procedures for pT3/pT4 CRC in elderly patients., Methods: From January 2004 to December 2015, 225 patients aged ≥70 years underwent elective colorectal surgery for pT3/pT4 CRC at the Department of General Surgery, University Hospital of Trieste. Patients' demographics, tumor's characteristics, intraoperative factors, short-term and long-term outcomes were retrospectively analyzed., Results: The study included 113 patients undergone open surgery and 112 who underwent laparoscopic surgery. Age was found to be statistically different between the two group, with open surgery patients being older than laparoscopic ones (P=0.009). The tumor location differed between the two groups (P=0.004), determining a variation in the incidence of surgical procedures performed (P<0.001). No other statistically significant differences were found in terms of intraoperative, histopathologic and oncologic factors., Conclusions: Laparoscopy is as safe as open surgery for pT3/pT4 CRC and it is often feasible, though in old patients higher conversion rates should be anticipated than in younger ones.

Published
2018
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